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Diabetes Prevention Program Demonstration Project
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Diabetes Prevention

The American College of Preventive Medicine (ACPM) has received funding from the Division of Diabetes Translation within the National Center for Chronic Disease Prevention and Health Promotion at the Centers for Disease Control and Prevention (CDC). A portion of the funding will be used to increase the number of physicians/clinicians who are screening, testing, and referring their patients with prediabetes to a CDC recognized diabetes prevention program (pending or full recognition).

Through this project, ACPM will fund 3 health care organizations/practices to develop and implement a protocol for screening, testing, and referring patients with prediabetes to a CDC-recognized diabetes prevention program, either through the EHR or by using another non-electronic approach. 

Award recipients will work with ACPM to document their experiences and lessons learned as case studies to inform and teach others. 

ACPM will make up to three financial awards to physicians from three different practice settings to test and evaluate innovative approaches to screen, test, and refer patients with prediabetes to a CDC-recognized diabetes prevention program. The award winners will also make a commitment to serve as Provider Champions.

Proposals are due by January 10, 2017

Award winners will be notified the week of January 16, 2017 and will be given three months to complete their demonstration between February and April 2017. The three providers will develop a report and share their findings on Tuesday, May 23, 2017 at the 2017 ACPM annual conference.

PROPOSAL OVERVIEW

ONLINE APPLICATION AND SUPPLEMENTAL PROPOSAL


For additional information please contact Marissa Hudson, Program Director, Lifestyle Medicine at mhudson@acpm.org.

Additional Information

The grantees will be selected from the following healthcare settings:

  • Community Health Centers or Federally Qualified Health Centers (FQHC); FQHC Look Alike; Rural Health Clinic; Free and charitable clinics

  •  FQHC: Any provider who currently works in a Federally Qualified Health Center , as designated by the Health Resources and Services Administration (HRSA), is eligible to apply for the grant. These include health centers that serve homeless patients, farm worker patients, public housing patients, and veteran patients.

  •  FQHC Look-Alike: Any provider who works in a FQHC Look-Alike , as designated by HRSA, is eligible to apply for the grant.

  •  Rural Health Clinic: Any provider who works in a Rural Health Clinic (RHC), as designated HRSA, is eligible to apply for the grant.

  •  Free and Charitable Clinics: These are health clinics, located across the country, that do not receive any federal funds that are given to FQHCs and RHCs. They also receive little to no state funds. Any provider who volunteers a significant portion of their time (at least two days a week) at a free or charitable clinic is eligible to apply.

  •  Independent Physician Associations (IPA); medical groups: Any provider who is in an IPA and pursuing opportunities such as contracts with employers, accountable care organizations (ACO), or managed care organizations (MCO) are encouraged to apply. Physicians in medical groups who are also engaged in patient-centered medical homes (PCMH) are encouraged to apply.

  •  Integrated Delivery System (IDS): Any provider who is part of an integrated delivery system (IDS) that are vertically and horizontally aligned to provide a continuum of care to a specific geographic area in need is eligible to apply. Any provider within an IDS that functions as an ACO is also eligible to apply.

Provider Eligibility Requirements

Providers must meet these criteria in order to apply:

  • Any provider (physician, nurse practitioner, registered nurse or physician assistant) with a current and valid license to practice in any of the 50 states or territories

  • Clinicians (nurse practitioners, registered nurses, and physician assistants) who wish to apply for this grant should belong to one of the four healthcare settings described above.

Providers who meet any one or more of the following criteria may apply:

  • ACPM member physicians who are involved in clinical care (having direct contact and providing clinical care one-on-one with patients at least two days a week) in one of the above four healthcare settings and who are engaged in practicing prevention in areas with underserved and high-risk populations.* 
      * ACPM members are encouraged to apply, but priority will be given to providers who fulfill the eligibility criteria. *

  • Physicians (MD/DO), clinicians (nurse practitioner, registered nurse, physician assistant or registered dietitian) who provide direct clinical care and currently engage their high risk patients in brief lifestyle medicine counseling or education.

  • Physicians and clinicians who refer their patients to any community-based lifestyle change program.

  • Screening Practices Criteria: Providers who meet either of the following criteria are eligible to apply:

    •  Physicians and clinicians who already have a system in place to screen, test, and refer their patients to a CDC-recognized diabetes prevention program and who simply wish to test the effectiveness of their current system using existing tools (e.g.: AMA/CDC toolkit: Preventing Type 2 Diabetes—A Guide to Refer Your Patients with Prediabetes to an Evidence-based Diabetes Prevention Program). These providers may not need to make any changes to their workflow or their referral process

    •  Physicians and clinicians who do not currently have a system in place to screen, test, and refer patients to a CDC-recognized diabetes prevention program. These providers would be utilizing the award to change their current workflow and/or referral process with the help of existing tools (e.g.: AMA/CDC toolkit: Preventing Type 2 Diabetes—A Guide to Refer Your Patients with Prediabetes to an Evidence-based Diabetes Prevention Program)

Award Requirements

Providers who wish to apply for this grant should be able to fulfill the following requirements:

  • Implement the award immediately and adhere to the timeline listed below.

  •  Refer to a CDC-recognized online or in-person diabetes prevention program in their patients’ community. Physicians themselves will not be providing the intense lifestyle change intervention, even if they have the training and the competency.
  •  Two providers from the same healthcare setting will not be chosen for two separate awards.

  • Providers must be able to utilize the established toolkits and resources to see how effective they are in developing and implementing a referral protocol.Providers must allot time in their demonstration project to obtain feedback / data regarding their patient’s progress in the program and complete follow up with their patients.

  • Patient contact must be attempted a minimum of two times during the demonstration project period.

  • Providers must be able to serve as Provider Champions

  • Providers should not use any portion of the award to cover the cost of the diabetes prevention program for their patients.

  • Providers must not have a conflict of interest. No member of the ACPM Diabetes Prevention Advisory Council or the ACPM WISEWOMAN Advisory Council can apply for this grant. 
Provider Champion Requirements
  • Award winners are required to communicate regularly to provide updates on the demonstration project with ACPM physician consultants. These updates will be shared with the Diabetes Prevention Advisory Council.
  • Award winners will be available for peer-to-peer mentoring and will share their experiences with the demonstration project with other providers.
  • Award winners should be available to present findings from the demonstration project at the Diabetes Prevention Learning Institute to be held on Tuesday, May 23, 2017 at the ACPM Annual meeting Portland, Oregon. ACPM will cover conference-related expenses incurred by the award winners.
  • Award winners will make themselves available for marketing videos and other promotional materials and promising practice case studies to be developed by ACPM.

Timeline

 

Thursday, December 8, 2016

Call for proposal announced

Thursday, January 10, 2017

Deadline for submitting the application

Week of January 16, 2017

Award winners notified

Week of January 30, 2017

Initial funds disbursed to three award winners

February 1, 2017

Providers begin implementing the demonstration projects

February 1 – April 28, 2017

Providers implement their demonstration projects

Remaining funds disbursed

Monthly between February 1 and April 28

Providers check in with physician consultants and the ACPM staff on their progress

March 2017

Physician consultants and ACPM staff visit the sites of all three providers

April 28, 2017

Providers complete demonstration projects

May 2017

Providers develop final report with their findings and lessons learned

May 22, 2017

The providers present their findings at the annual ACPM meeting in Portland, Oregon

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